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This bioavailable form of carnitine is acetylated to enhance absorption and utilisation in both muscle and brain tissue

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The Cochrane database of systematic reviews

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However, up to 89% of participants taking efinopegdutide experienced gastrointestinal adverse events (mostly nausea, vomiting and diarrhoea) relative to 28% taking placebo and 60% taking liraglutide (86)